Individual
MR. CHARLES LOGAN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1655 ZEBULON RD, GRIFFIN, GA 30224-5155
(770) 228-5009
(770) 228-9013
Mailing address
1655 ZEBULON RD, GRIFFIN, GA 30224-5155
(770) 228-5009
(770) 228-9013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH010013
GA
Other
Enumeration date
03/24/2011
Last updated
03/24/2011
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